33676 VSD repair Medicare reimbursement rates in California

This code describes an open operation that closes multiple ventricular septal defects and includes resection of infundibular muscle bundles, which can obstruct blood flow from the right ventricle. A congenital cardiac surgeon typically performs the repair in a hospital operating room, often using cardiopulmonary bypass. The closure may use a patch or another repair technique; the defining feature is the muscle resection along with closure of multiple defects.

Report the code when the operative documentation establishes both multiple VSD closures and infundibular muscle resection. The operative report should describe the defects, the resection, and the repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.